Dr. PRABHAVATHI GUMMALLA M.D
Individual Provider (NPI-1)
Active
Pediatrics, Pediatric Pulmonology
Provider Information
- NPI Number
1750700852- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D
- Status
- Active
Contact & Location
- Address
- 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 191044319
- Phone
- (917) 715-5360
Specialties & Taxonomies
Pediatrics, Pediatric Pulmonology
License: NJ #25MA10793600
Pediatrics, Pediatric Pulmonology
License: NY #285065
Pediatrics, Sleep Medicine
License: PA #MD458931
Pediatrics, Sleep Medicine
License: NJ #25MA10793600
Pediatrics, Pediatric Pulmonology
Primary License: PA #MD458931